What are the side effects of robotic prostate surgery?

Robotic prostate cancer surgery is extremely safe in experienced hands, but some complications are possible in any abdominal procedure. Possible complications may include bleeding, infection, blood clotting, heart attack, hernias, permanent urinary incontinence, impotence, and strictures.
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What can I expect after robotic prostate surgery?

Other very normal things to expect after robotic prostatectomy are a high urine output for the first several days after surgery, bladder spasms at times, which feel like bladder and pelvic cramping that comes to a crescendo, causes leakage around the catheter and then dies down, and blood in the urine.
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How long does it take to fully recover from prostate robotic surgery?

A traditional, open radical prostatectomy requires two days hospitalization and recovery lasting about 2 months. With robotic-assisted surgery, the recovery time is as little as 2-3 weeks.
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How successful is robotic prostate surgery?

The positive margin rate was 9.4% for all patients; i.e. 2.5% for T2 tumours, 23% for T3a and 53% for T4. The overall biochemical recurrence free (PSA level<0.1 ng/mL) survival was 95% at mean follow-up of 9.7 months. There was complete continence at 3 and 6 months in 89% and 95% of patients, respectively.
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What are the complications after prostate surgery?

In addition to the risks associated with any surgery, risks with radical prostatectomy include:
  • Bleeding.
  • Urinary tract infection.
  • Urinary incontinence.
  • Erectile dysfunction (impotence)
  • Narrowing of the urethra or bladder neck.
  • Formation of cysts containing lymph (lymphocele)
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Robotic surgery for prostate cancer



What is the downside of having your prostate removed?

Side effects of prostate surgery. The major possible side effects of radical prostatectomy are urinary incontinence (being unable to control urine) and erectile dysfunction (impotence; problems getting or keeping erections). These side effects can also occur with other forms of prostate cancer treatment.
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How does life change after prostate removal?

Most men experience some decline in erectile function after their prostate is removed, but this can be managed. “It can take six months or even up to a year for the affected nerves to recover from surgery. But with proper therapy and treatment, most patients can have good erectile function again,” says Dr. Fam.
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Is robotic prostatectomy better than open?

There were minimally invasive benefits for men undergoing robot-assisted laparoscopic prostatectomy, with less intraoperative bleeding, fewer operative adverse events, earlier hospital discharge, less pain with activity for the first week, better physical quality of life at 6 weeks, and less distress at 12 weeks than ...
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Can you still have an erection if your prostate is removed?

These nerves, blood vessels, and muscles may be weakened when you have surgery for your prostate cancer. For a period of time after surgery, many men are not able to get an erection. This time is different for each man. It can be less than a month or longer than a month.
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How long does it take to regain bladder control after prostate surgery?

Continence After Your Prostate Robotics Surgery

Most people regain control in the weeks after we remove the catheter. The vast majority of men who had normal urinary control before the procedure achieve it again within 3 to 18 months after the surgery.
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What is the fastest way to recover from prostate surgery?

Here are nine tips for making your road to recovery after prostatectomy as smooth as possible.
  1. Plan Ahead. ...
  2. Listen to Your Doctor. ...
  3. Stay Ahead of Your Pain. ...
  4. Take It Easy. ...
  5. Treat Constipation. ...
  6. Call Your Doctor With Concerns. ...
  7. Protect Yourself from Accidents. ...
  8. Don't Let Sexual Side Effects Get You Down.
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How do you stop urine leakage after prostate surgery?

Kegels may be your answer! As mentioned above, Kegels are a common treatment option for incontinence after prostate surgery. Among other things, the pelvic floor muscles help control bladder and bowel function and, like other muscles of the body, if they get weak they are no longer able to do their job effectively.
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Why does it hurt to pee after prostate surgery?

A burning sensation and a strong desire to go to the toilet. These symptoms are due to the passage of urine over the healing area of the urethra following the removal of the prostate tissue. This can be easily treated with mild pain relievers and medication which change the acidity of the urine.
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How much pain is there after prostate surgery?

The incisions may be sore for 1 to 2 weeks. Your doctor will give you medicine for pain. You will have a tube (urinary catheter) to drain urine from your bladder for 1 to 2 weeks after surgery. You may have bladder cramps, or spasms, while the catheter is in your bladder.
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Do you gain weight after prostate surgery?

Majority of Men on ADT After Prostatectomy Gain Weight During First Year of Therapy. Seventy percent of men who received androgen-deprivation therapy (ADT) after surgery to remove their prostate gland gained significant weight in the first year, putting on an average of 4.2 kg, according to a paper in BJUI.
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Do you lose length after prostate surgery?

Radical prostatectomy has been shown to have a potential negative impact on penile health. Stretched penile length (SPL), which most closely correlates with erect penile length, was significantly reduced in almost half of men undergoing surgery in several studies.
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How can I speed up nerve regeneration after prostate surgery?

Can I do or take anything to speed up nerve regeneration? I recommend to my patients that they stimulate themselves (or be stimulated by other means) 2-3 times a week and take a Viagra tablet at least once a week as well. This encourages nerve regeneration and increases blood flow to the penis.
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Who is the best robotic prostate surgeon?

Dr. Razdan is recognized as one of the highest volume and most experienced robotic prostate surgeons in the world. He has performed over 9,000 Robotic Surgeries and is considered by many to be one of the best in the world.
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Can robotic surgery cause nerve damage?

Researchers found that nerve injuries potentially caused by side effects of robotic surgery affected nearly 7% of patients who underwent robot-assisted urologic surgery. While most of the reported nerve damage resolved within one month after surgery, more than 20% experienced problems that persisted beyond six months.
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Does prostate removal affect personality?

The literature identifies considerable effects on feelings of well-being, self-esteem, and relationship difficulties, particularly in younger patients who have undergone prostatectomy, and problems with depression, feelings of isolation, and social withdrawal have been reported.
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How much should I be walking after prostate surgery?

"Non-vigorous walking for three hours per week seems to improve the fatigue, depression and body weight issues that affect many men post-treatment," said the lead author of the study. "If you walk even more briskly, for only 90 minutes a week, you could also see similar benefits in these areas."
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What should PSA level be after prostate removal?

Ideally, your post-prostatectomy PSA will be undetectable, or less than 0.05 or 0.1 nanograms of PSA per milliliter of blood (ng/mL). If that's the case, your doctor may call it a remission.
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How long does it take for bladder to return to normal after catheter removal?

A: This is perfectly normal after catheter removal. When the catheter slid out, it irritated the urethra and any area that may have operated on The urine should clear again in 24-48 hours.
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How long does incontinence last after robotic prostatectomy?

Recovery of urinary continence can take weeks to months. For many men this may take 6-18 months. Permanent incontinence after robotic prostatectomy, however, is rare when performed by an experienced surgeon.
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